Active NPI
Dominic C Turner, P.T.
- Contractor
- Sartell, MN
National Provider Identifier
1326161845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 6255
- Practice address
- 100 2ND St S
Sartell, MN 56377-1977 - Phone
- (320) 251-2600
- Fax
- (320) 251-4763
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 6255 | MN | Primary |
Addresses
Primary practice location
100 2ND St S
Sartell, MN 56377-1977
Mailing address
100 2ND St S
Sartell, MN 56377-1977
Phone (320) 251-2600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | MN | |
| 1326161845 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 2ND St S
Sartell, MN 56377-1977
Phone 3202512600117
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Sartell, MN
- NPI 1770646937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377648000000",
"number": "1326161845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 2ND ST S",
"city": "SARTELL",
"state": "MN",
"postal_code": "563771977",
"telephone_number": "320-251-2600",
"fax_number": "320-251-4763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 2ND ST S",
"city": "SARTELL",
"state": "MN",
"postal_code": "563771977",
"telephone_number": "320-251-2600",
"fax_number": "320-251-4763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNER",
"first_name": "DOMINIC",
"middle_name": "C",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2013-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "MN",
"license": "6255",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1326161845",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sartell, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.